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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 77 - 86 (10page)
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초록· 키워드
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Laparoscopic proximal gastrectomy (LPG) is theoretically a superior choice of minimally-invasive surgery and function-preserving surgery for the treatment of proximal early gastric cancer (EGC) over procedures such as laparoscopic total gastrectomy (LTG), open total gastrectomy (OTG) and open proximal gastrectomy (OPG). However, LPG and OPG are not popular surgical options due to three main concerns: the first, oncological safety; the second, functional benefits; and the third, anastomosis-related late complications (reflux symptoms and anastomotic stricture). Numerous recent studies have concluded that OPG and LPG present similar oncological safety profiles and improved functional benefits when compared with OTG and LTG. While OPG with modified esophagogastrostomy does not provide satisfactory results, OPG with modified esophagojejunostomy showed similar rates of anastomosis-related late complications when compared to OTG. At this stage, no standard reconstruction method post-LPG exists in the clinical setting. We recently showed that LPG with double tract reconstruction (DTR) is a superior choice over LTG for proximal EGC in terms of maintaining body weight and preventing anemia. However, as there is no definitive evidence in favor of LPG with DTR, a randomized clinical trial comparing LPG with DTR to LTG was recommended. This trial, the Korean Laparoscopic Gastrointestinal Surgery Study-05 (NCT01433861), is expected to assist surgeons in choice of surgical approach and strategy for patients with proximal EGC.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
An JY / 2008 / The difficult choice between total and proximal gastrectomy in proximal early gastric cancer / Am J Surg 196 : 587 ~ 591
Chang Hak Yoo / 2004 / Long-term Results of Proximal and Total Gastrectomy for Adenocarcinoma of the Upper Third of the Stomach / Cancer Research and Treatment 36 (1) : 50 ~
Harrison LE / 1998 / Total gastrectomy is not necessary for proximal gastric cancer / Surgery 123 : 127 ~ 130
Hiki N / 2013 / Function-preserving gastrectomy for early gastric cancer / Ann Surg Oncol 20 : 2683 ~ 2692
Hinoshita E / 2001 / The nutritional advantages of proximal gastrectomy for early gastric cancer / Hepatogastroenterology 48 : 1513 ~ 1516
Chang Hak Yoo / 2004 / Long-term Results of Proximal and Total Gastrectomy for Adenocarcinoma of the Upper Third of the Stomach / Cancer Research and Treatment 36 (1) : 50 ~
Harrison LE / 1998 / Total gastrectomy is not necessary for proximal gastric cancer / Surgery 123 : 127 ~ 130
Hiki N / 2013 / Function-preserving gastrectomy for early gastric cancer / Ann Surg Oncol 20 : 2683 ~ 2692
Hinoshita E / 2001 / The nutritional advantages of proximal gastrectomy for early gastric cancer / Hepatogastroenterology 48 : 1513 ~ 1516
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